Chapter 1: Preparing for the Patient Encounter

Question 1

Patient-centered care

Answer 1

two-way partnership between providers and patients (and families_
- pts are active in thier own care
improves patient safety, communication, and compliance to treatment plan

Question 2

Essential elements of patient-centered care (3)

Answer 2

1. individualized care
   (empathetic communication, respect for patient values/ privacy, sensitivity to cultural values)
2. patient involvement
   (patient education, shared decision-making, patient participation in care)
3. provider collaboration
   (communication, coordination, shared responsibility)

Question 3

Stages of pt interaction (5)

Answer 3

1. chart review (pre-interaction)
2. introductory
3. initial assessment
4. treatment + monitoring
5. follow-up stage

Question 4

1. chart review stage

Answer 4

• pre-interaction
• review chart identify name, chief complaint, histroy of present illness
• clarify in your mind what your role with this patient will be

Question 5

2. introductory stage

Answer 5

• Purpose is to introduce yourself to the patient and begin to establish a rapport
• Use patient’s formal name initially until he/she gives you permission to use a first name
• Verify patient identification

Question 6

3. initial assessment stage

Answer 6

• Overlaps with the introductory stage
• Observe patient’s general appearance and response to questions
• Identify patient’s baseline condition and need for treatment the physician has ordered

Question 7

4. treatment + monitoring stage

Answer 7

• After the initial assessment, you are ready to administer the treatment
• Monitoring the patient’s response to the treatment is important
• If the patient has side effects, the treatment should be stopped

Question 8

5. follow-up stage

Answer 8

• After treatment is over, take a minute to communicate with the patient
• Let him/her know when you will return and how to contact you if needed
• Make sure the patient is comfortable before you leave

Question 9

3 types of space

Answer 9

1. social space (4 - 12 ft)
2. personal space (18 inch - 4 ft)
3. intimate space (0 to 18 inch)

Question 10

social space

Answer 10

• 4 to 12 ft
• introductory stage, begin to establish rapport
• gain appreciation for pt and environment

Question 11

personal space

Answer 11

• 18 inch to 4 ft

- initial assessment / useful for interview

Question 12

intimate space

Answer 12

• 0 ft to 18 inch

physical examination, treatment, monitoring

Question 13

confidentiality key points (4)

Answer 13

1. all information about pt is confidential
2. RTs must not share patient information with others who do not need to know about the pt
3. violations of confidentiality are unethical and may be subject to legal recourse
4. remember to sign and return your form to the clinic

Question 14

expressing genuine concern key points (5)

Answer 14

1. (S) face pt squarely
2. (E) use eye contact appropriately
3. (P) maintain an open posture
4. (T) consider appropriate use of touch (difficult to sue when pt is a different gender or from another culture)
5. (L) be an active listener

Question 15

standard precautions

Answer 15

universal precautions

• hand hygiene
• gloves
• gown
• face masks
• eye protection
• pt care equipment
• needles and sharps
• pt resuscitation devices